Much has changed in public life in Wales since I last spoke on a health issue here in this Chamber. Some things have not. One thing that has not is the simple fact that many in communities in the west do not have confidence in the Hywel Dda health board, do not trust it to act in their interests, and do not believe that, when it consults on proposed service changes, it listens to them and responds to them. Hence the petition that has triggered this debate today, and, like others, I'm grateful to the Petitions Committee for bringing this forward. 

Another thing, of course, that has not changed is the Welsh Government's habit of distancing itself from proposed changes, even though the health boards are entirely accountable to Welsh Government and it is the Welsh Labour Government policy that is behind this drive to centralise services. 

Yet another thing, of course, that has not changed is the rather unedifying spectacle of politicians elected in the name of the Welsh Labour Party persisting in campaigning, and sometimes leading campaigns, against the proposed service changes driven by their own Government's policies—baffling, absolutely baffling. Faced with the current proposed changes, Plaid Cymru, as my colleague Rhun ap Iorwerth has already said, has sought to take a responsible approach. We have developed and presented alternative proposals following consultation with community members and professionals in the region. And I will, if time allows, refer to some of the specifics of those proposals in a moment.